Ent INSTRUMENTS

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ent INSTRUMENTS

and x-ray
X Rays
POSTERIOR RHINOSCOPY MIRROR
-CURVED, ANGLED

- FOR EXAMINING POST. PART OF


NOSE AND NASOPHARYX

-STRUCTURES SEEN

1) OPENING OF EUSTACHIAN
TUBE
2) TORUS TUBARIUS
3) WALDEYERS RING
4) GROWTH
INDIRECT LARYNGOSCOPY MIRROR

-STRAIGHT
-INDICATION: HOARSENESS, DYSPHAGIA
-SEEN
1) BASE OF TONGUE
2) EPIGLOTTIS
3) VOCAL FOLDS AND VESTIBULAR FOLDS
4) ARYEPIGLOTTIC FOLD
5) ARYTENOID
6) INTERARYTENOID
7) PYRIFORM FOSSA
-HIDDEN AREAS : ANT. COMMISSURE, SUBGLOTTIS, POST CRICOID
AREA, APEX OF PYRIFORM FOSSA
TOYNBEE’S EAR SPECULUM
-EXAMINATION OF EXT. AUDITORY CANAL AND
TYM. MEMBRANE
-FOCUSES ON THE TYM. MEMBRANE
TUNING FORKS
256, 512, 1024 HZ.

RINNES, WEBER, ABC.


THUDICUM’S NASAL SPECULUM
-ANT. RHINOSCOPY

-STRUCTURES SEEN
JOBSON’S HORNE PROBE

-EAR CURETTE AND COTTON


HOLDING

-CURETTE LOOP AT ONE END AND


OTHER END IS THREADED.

-PROBE IN INSPECTION OF AURAL


POLYP.
CANULLA / EUSTACHIAN TUBE CATHETER
- CHECK PATENCY OF
EUSTACHIAN TUBE
- REMOVES FOREIGN BODY
IN THE NOSE
TILLEY’S NASAL PACKING FORCEP
-BLUNT, SERROGATED

- 1M GAUZE ( 2.5 CM WIDE IN


ADULTS, 12MM IN CHILDREN)
MOLLISON’S SELF RETAINING MASTOID RETRACTOR
-USED IN MASTOID SX.
(MASTOIDECTOMY)

- MYRINGOPLASTY

-LOCK PRESENT- SELF RETAINING

-HEMOSTASIS: BLADE CONTROL


BLEEDING BY COMPRESSING
SOFT TISSUE AFTER THE INCISION
LACK’S TONGUE DEPRESSOR
-USED FOR

-EXAMN OF ORAL CAVITY

-POSTR. RHINOSCOPY

-TONSILLECTOMY

-GAG REFLEX

-SPATULA TEST

-VISUALING NASOPHARYNX
KILLIAN’S NASAL SPECULUM
-USED IN SEPTOPLASTY TO KEEP
MUCOPERIOSTEAL FLAPS AWAY.
DIRECT LARYNGOSCOPE
-DIRECT VISUALISATION OF
LARYNX

-USED FOR

-BIOPSY FRM SUSPICIOUS


GROWTH

-REMOVING F.B AND BENIGN


TUMORS LIKE PAPILLOMA
TRACHEOSTOMY TUBE
-CHEVALIER JACKSON METALLIC TUBE

- 5 PARTS

1) OUTER TUBE

2) INNER TUBE

3) PILOT

4) TWO FLANGES

5) LOCK
HIGGINSON’S SYRINGE
-WASH ANTRUM

-POST SYRINGING TEST


TONSILLECTOMY
-BOYLE DAVIS

-MOUTH GAG WITH TONGUE


DEPRESSOR

-BOYLE’S BLADE AND DAVIS’ GAG

-TONSILLECTOMY AND
OPERATIONS OF PALATE AND
NASOPHARYNX

- ADENOID REMOVAL

-CLEFT PALATE REPAIR


DRAFFIN’S BIPOD METALLIC STAND
-4 RINGS FOR VARYING THE
HEIGHT

-USED TO FIX BOYLE DAVIS


MOUTH GAG
DENIS BROWNE’S TONSIL HOLDING FORCEP
-USED TO HOLD TONSIL DURING
TONSILLECTOMY

- REMOVING ANTROCHOANAL
POLYP

-REMOVING THICK MUCOSA IN


CALDWELL LUC OPERATION
MOLLISON’S TONSIL DISSECTOR WITH ANT. PILLAR RETRACTOR
- TONSILLAR DISSECTOR: DISSECTS
TONSIL AFTER INCISION AT JUNCTION
OF TONSIL AND ANT. PILLAR
- ANT. PILLAR RETRACTOR: RETRACTS
ANT. PILLAR TO VISUALISE
TONSILLAR FOSSA AND LIGATE
BLEEDERS
- ALSO RETRACTS UVULA AND PALATE
DURING ANTROCHOANAL POLYP
REMOVAL
EVE’S TONSILLAR SNARE
-TO CRUSH AND CUT

-LESS BLEEDING AT LOWER POLE (


MS. ATTACHED )
ST. CLAIR THOMSON’S CURETTE WITH CAGE
-ADENOID CURETTE : SHAVE OFF ADENOID FROM NASOPHARYX AND CAGE
PREVENTS IT FROM SLIPPING

-HELD LIKE A DAGGER AND PASSED INTO NASOPHARYX

-WITH FIRM PRESSURE, SWEPT DOWNWARDS REMAINING STRICTLY IN MIDLINE

-TO AVOID DAMAGE TO EUSTACHIAN TUBE

-AT THE END OF THE LEVEL OF SOFT PALATE

-WITHDRAWN TO CAUSE CLEAN CUT OF NASOPHARYNGEAL MUCOSA


X-RAY
SOFT TISSUE X-RAY OF NECK

-SHOWING RADIOPAGUE F.B IN


AERO DIGESTIVE TRACT IN THE
CRICOPHARYNGEUS
-MOST PROBABLY A COIN.
REMOVAL: ESOPHAGOSCOPE
X-RAY PARANASAL SINUSES
-WATER’S VIEW
-RIGHT MAXILLARY SINUS SHOWS AIR
FLUID LEVEL
-MOST PROB DUE TO SINUSITIS.
X-RAY MASTOID
-SCLEROTIC TYPE
( OTHER PNEUMATIC, DIPLOTIC)
-TMJ IS SEEN IN FRONT OF EAC.
-
ADENOID HYPERTROPHY
-OBSTRUCTION OF AIRWAY AT THE
JUNCTION OF POSTERIOR AND
GROOVE
-
FRACTURE OF NASAL BONE

-X RAY NASAL BONE SHOWING FX


OF NASAL BONE
- LAT. VIEW
-TYPES OF NASAL BONE FX
1) DEPRESSED
2) ANGULATED

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